Individual provider Active NPI

Kelly C Meyers, APN

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1255638474
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
15643 Issued in TN
Practice address
3441 Dickerson Pike
Nashville, TN 37207-2539
Phone
(615) 769-4401
Fax
(615) 769-4730
NPI assigned
Feb 24, 2011
Last updated
Nov 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 15643 TN Primary

Addresses

Primary practice location

3441 Dickerson Pike
Nashville, TN 37207-2539

Mailing address

2020 21St Ave S
Suite 201
Nashville, TN 37212-4354
Phone (615) 269-0652

Other identifiers 1

IdentifierTypeStateIssuer
1523045MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000589 TN Practitioner - Nurse Practitioner 9638353279 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Emergency Physicians PC CurrentSince Mar 1, 2022 Accepting new patients
Emergency Medicine Services of TN, PC CurrentSince Apr 1, 2023 Accepting new patients
Emergency Physicians of Montgomery County, PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1255638474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 21ST AVE S",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124354",
            "telephone_number": "615-269-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 DICKERSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072539",
            "telephone_number": "615-769-4401",
            "fax_number": "615-769-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "15643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523045",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.